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Reduced shedding is often the first measurable improvement

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In practice, many researchers use the 28-day mark as a hard cutoff

After the acute repletion phase, therapy is usually transitioned to an oral maintenance multivitamin containing a physiological dose of pyridoxine (2-5 mg daily) for several weeks, along with dietary counseling to prevent recurrence

This assessment considers six specific variables: Assessment factors: Trimester, pre-existing skin conditions, pregnancy complications, previous treatment history, skin sensitivity level, and patient understanding of potential risks